Chinese journal of traumatology = Zhonghua chuang shang za zhi / Chinese Medical Association
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Chin. J. Traumatol. · Dec 2009
ReviewImportance of recognizing and managing delirium in intensive care unit.
Delirium is an acute and fluctuating change in mental status, with inattention and altered levels of consciousness. It is a common comorbidity in intensive care units (ICU), resulting in delayed withdrawal of mechanical ventilation, prolonged length of stay in ICU, increased ICU mortality and impaired long-term cognitive function of the survivors. ⋯ Surveys conducted in several countries indicated that delirium in ICU was inadequately monitored, underdiagnosed and lacked standardized treatment. In order to improve the prevention and treatment of ICU delirium, it is imperative that the ICU professionals should enrich their knowledge about this comorbidity, familiarize themselves with its screening and management, as well as standardize the administration of narcotic and psychoactive medications.
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Chin. J. Traumatol. · Dec 2009
Survey of attitudes and behaviors of healthcare professionals on delirium in ICU.
To assess the medical community's awareness and practice regarding delirium in the intensive care unit (ICU). ⋯ Although delirium is considered as a serious problem by a majority of the surveyed ICU professionals, it is still under-recognized in routine critical care practice. Data from this survey show a disconnection between the perceived significance of delirium and the current practices of monitoring and treatment in ICU in China.
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Chin. J. Traumatol. · Dec 2009
Immunotherapy improves immune homeostasis and increases survival rate of septic patients.
To investigate the efficacy of immunotherapy on septic patients with Ulinastatin plus Thymosin-alpha(1). ⋯ Immunotherapy with Ulinastatin plus Thymosin-alpha(1) can enhance the inflammatory response, improve the immune homeostasis, and increase the survival rate of septic patients.
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Chin. J. Traumatol. · Oct 2009
Treatment of distal clavicle fracture with distal radius volar locking compression plate.
To observe the early clinical outcomes of the internal fixation with distal radius volar locking compression plate (LCP) in treatment of distal clavicle fracture. ⋯ Fixation of distal clavicle fracture with distal radius volar LCP demonstrates excellent effects of bone union with rarely early complications, thus providing a new technique to treat distal clavicle fracture.
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Chin. J. Traumatol. · Oct 2009
Influence of operative timing on prognosis of patients with acute subdural hematoma.
To study the influence of operative timing on the prognosis of patients with acute subdural hematoma (ASDH) in order to provide theoretical basis for clinical treatment. ⋯ Operative timing has potential influences on the prognosis of patients with ASDH. Surgical evacuation of ASDH should be performed as soon as possible once the operation indication emerges.